| NPI | 1699207399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J KING Owner 317-743-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001820A) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |